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- � CHECK OFF LI5T FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z Z�� P 1�1�'X1srA�v� (lAiq� <br /> PID: <br /> DESCRIPTION OF WORK: o ot <br /> ZONING REV�W BY: DATE APPROVED: 5`- 27-r^f' <br /> BUII�DING REVIEW BY: DATE APPROVED: S • Z�• S 5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,�/ No <br /> pLAN REVIEW Yes �" No SEWER CONNF,CTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L.�L-�� <br /> Fire Department: r►iw�N✓> Post Office: w�y-tq-t� School District: l�.i,P_g`rt�ul�'•4 <br /> Lot Area: Sq.ft. 3 5�3 Acres . 7 2- Width I 3 Z- Depth 2 343.6� <br /> Survey Submitted: Yes c No Date of Survey: S-�7- �g <br /> Proposed Setbacks: , <br /> Front(La#e): t$S� `-' Right Side: 3�$ � <br /> Rear(S�eet): �a '� L.eft Side: 3� t <br /> Adjacent Structures: �p ` Wetland: �1 �/�F <br /> Building Height: Def. Hgt. �V�14- Peak Hgt. <br /> Lot Coverage: D.��- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Disuict: �y�25 <br /> Avg. Setback: r///+ Bluff Setback: i✓�/s Lot Coverage: �+///o� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 1`{•Z � <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No_� Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />